Cerebrospinal Fluid Research: Needs Assessment of School-Going Children and Adolescents With Spina Bifida

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Cerebrospinal Fluid Research BioMed Central

Oral Presentation Open Access


Needs assessment of school-going children and adolescents with
spina bifida
M McGinn*, S Dockeray and O Hensey

Address: Central Remedial Clinic, Clontarf, Dublin, Ireland


Email: M McGinn* - murtaghmairead@hotmail.com
* Corresponding author

from 48th Annual Meeting of the Society for Research into Hydrocephalus and Spina Bifida
Dublin, Ireland, 23–26 June 2004
Published: 23 December 2004
<supplement> <title> <p>48th Annual Meeting of the Society for Research into Hydrocephalus and Spina Bifida</p> </title> <note>Meeting abstracts</note> </supplement>

Cerebrospinal Fluid Research 2004, 1(Suppl 1):S44 doi:10.1186/1743-8454-1-S1-S44


This article is available from: http://www.cerebrospinalfluidresearch.com/content/1/S1/S44

Background more therapy and improved communication within the


The Central Remedial Clinic (CRC) is a national organisa- multidisciplinary team.
tion providing a range of specialised services for children
and adults with physical disability. One such service pro- Conclusions
vided is a specialist spina bifida service. The aims of the We have highlighted a high level of need within this pop-
study were: 1. To assess the current level of need among ulation. Whilst parents may be happy with the current
school-going children and adolescents (aged 5–18 years) service provided, there is much room for improvement.
with spina bifida. 2. To obtain a measure of patient and The key demand is improved coordination of services, not
parental satisfaction with the specialist spina bifida serv- only among the services provided by the CRC, but among
ice provided by the CRC. 3. To implement improvements all care-givers providing services on multiple sites in the
in the service. Dublin area.

Methods
The parents of 42 children were invited to participate in
the study. All lived in the Eastern Regional Health Author-
ity and attended the specialist spina bifida service in the
CRC. All but 1 agreed to participate. Each participated in
a semi-structured interview, which included the comple-
tion of a questionnaire.

Results
Of the 41 children, 22 were attending special schools and
19 were in a mainstream setting. 34.1% were incontinent
in relation to bowel function. 56.1% were incontinent in
relation to bladder function. The majority required assist-
ance for toileting: 73.2% were dependent in relation to
bowel function and 53.7% in relation to bladder func-
tion. A significant number were dependent in relation to
personal care (61% for washing, 58.5% for dressing).
Whilst there was a high satisfaction rating for the service
provided by the CRC (92.7% generally happy), 30 fami-
lies (73.2%) identified the need for additional services,
particularly the need for home adaptation and counsel-
ling for both the child and parents. Among the improve-
ments suggested by parents were increased information,

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